Incoming Student Info Form | North Bennet Street School

First Name

Last Name

Nickname

Pronouns Pronouns

Your Program

Email

Preferred Phone Number

Cellphone

To text you important School notifications, like weather closure alerts.

You agree to receive text messages from NBSS regarding school closures and school events.

Yes, I agree.

View our Terms and Privacy Policy. You may receive up to 4 messages per month, and will be removed once you are no longer a student. Reply STOP to end.

T-Shirt Size

We give out one NBSS t-shirt to new students. These are unisex crew cut sizes.

Name as you would like it to appear on your diploma/certificate upon graduation.

(Optional) Phonetic pronunciation of your name

Gender

Do you have any food allergies?

We offer Wednesday sandwich lunches, so we’d like to know if you have any nut, gluten, dairy, or other allergies.

Local Address

Street Address

Apartment #/Floor

City

State

Zip Code

Billing Address (if different than local)

Billing Street Address

Apartment #/Floor

City

State

Zip Code

Country

Emergency Contact 1

First Name

Last Name

Relationship

Email

Preferred Phone Number

Alternate Phone Number

Street Address

City

State

Zip Code

Emergency Contact 2

First Name

Last Name

Relationship

Email

Phone Number

Alternate Phone Number

Street Address

City

State

Zip Code

Student Services

To better ensure that your training will be the best it can be, are there any reasonable accommodations that you require (adaptations for your learning style, physical limitations, etc.?) All information is confidential.

Yes

No

If yes, please describe:

Media Release

I give permission for NBSS to use pictures of me in print and online material to promote the School during my time as a student.

Yes

No

I give permission for NBSS to use my name, pictures of me, and any approved profile information or testimonial in print and online material used to promote the school once I graduate.

Yes

No

I give permission for NBSS staff to contact me about any scholarship support received through the School.

Yes

No

Safety Release

I hereby release North Bennet Street School and all of its instructors and employees from all responsibilities in case of accident incurred by me in the course of my instruction at North Bennet Street School.

Yes, I agree

I understand that it is my responsibility to know and understand all safety precautions in the use of hand and power equipment at the School.

Yes, I agree

When there is a question about the safe operation procedure of tools and equipment or when there is a question about the safe condition or malfunction of tools or equipment, I will refrain from using such tools until I have learned proper procedures or have notified my instructor(s) of the malfunction and the malfunction has been corrected.

Health and Safety Acknowledgement and Release

North Bennet Street School’s current health and safety protocols are available on our website. Please review this information carefully and complete the questions below.

North Bennet Street School follows health and safety practices in accordance with applicable federal, state, and municipal guidelines to help reduce the spread of respiratory and other illnesses. However, I understand that NBSS cannot eliminate all risks, and I acknowledge the contagious nature of illnesses. By attending NBSS, I voluntarily assume the risk of exposure or infection.

Yes, I understand and agree

I recognize that the risk of illness may result from my own actions or those of others. I voluntarily assume this risk and agree to hold NBSS, its employees, agents, and representatives harmless in the event that I contract an illness.

Yes, I understand and agree

I agree to follow all health and safety practices and protocols established by NBSS to protect the community.

Yes, I agree

Student ID Photo

Please provide a photo for your Student ID Card and the School’s internal directory. Please choose or take a “passport style” photo (facing the camera directly with a plain background.) Include your last name and program in the file name – Ex: “Smith Bookbinding.jpg”. We only accept .jpg files.

File Upload

Maximum file size: 10MB

Certification

By typing my full name below, I acknowledge that I am the person identified on this form, and that I agree to the electronic processing of this record.

Write Your Full Name

Captcha

Incoming Student Information

Local Address

Billing Address (if different than local)

Emergency Contact 1

Emergency Contact 2

Student Services

Media Release

Safety Release

Health and Safety Acknowledgement and Release

Student ID Photo

Certification